05D2057679 CLIA NUMBER - MARK B. BRAUNSTEIN MD INC

Laboratory Demographics

  • CLIA Code: 05D2057679
  • Facility Name: MARK B. BRAUNSTEIN MD INC
  • Facility Address: 4849 VAN NUYS BLVD, STE 202
    SHERMAN OAKS, CA
    ZIP 91403
  • Facility Phone: 818 784-5300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK B. BRAUNSTEIN
  • NPI Number: 1760723480
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2057679
LAB Type Physician Office
Facility Name MARK B. BRAUNSTEIN MD INC
Street 4849 VAN NUYS BLVD, STE 202
City SHERMAN OAKS
State CA
ZIP 91403
Phone 818 784-5300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Physician Office
Lab Director MARK B. BRAUNSTEIN

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This page was last updated on: 6/4/2025